The ICD-10 compliance date is October 1, 2015. Are you ready? The CMS Medicare Fee-For-Service Provider Resources web page includes information and educational resources for providers to implement and transition to ICD-10 medical coding.
59 Modifier Use
Providers may continue to use the 59 modifier after January 1, 2015, in any instance in which it was correctly used prior to January 1, 2015. Change Request (CR) 8863 established four new modifiers (XE, XP, XS, and XU) to define specific subsets of the 59 modifier, a modifier used to define a "Distinct Procedural Service." Providers who want to use the new modifiers may use them according to the published definitions. For more information, review MLN Matters® Special Edition Article SE1503.
More C-SNAP (CMS Secure Net Access Portal) Enhancements Coming Soon
• J8 Michigan Part A providers will soon be able to submit electronic prior authorization requests for Hyperbaric Oxygen (HBO) services. Our Medical Review staff will respond with a decision letter to these requests via C-SNAP.
• Medical Review will also be sending notifications to providers via email on their probe and additional documentation request (ADR) review.
• C-SNAP appeals will be enhanced to electronically accept appeals attachments from Part B providers.
CMS Secure Net Access Portal (C-SNAP) Appeal Attachments
As of July 31, 2015, C-SNAP Appeals will be enhanced to electronically accept Appeals Attachments from Part B Providers. This automated process allows Medicare Part B Providers to submit electronic Attachment Documents for Appeals directly to WPS Medicare. There will no longer be a need to print out the C-SNAP Redetermination request and fax it in along with attachments.
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